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Osborn, Medical-Surgical Nursing, 2eChapter 49Question 1Type: MCSAA 65-year-old female admitted with a fractured hip tells the nurse that she was unaware that she has osteoporosis. What is the nurse's best response?1. "Sometimes the first sign of the disorder is a fracture."2. "It is rare for someone your age to have osteoporosis."3. "There is no way to prevent the disorder."4. "Everyone has it now."Correct Answer: 1Rationale 1: The manifestations of osteoporosis may go undetected because many patients are asymptomatic. The first sign of the disorder may be a fracture.Rationale 2: There are different types of osteoporosis that occur in postmenopausal women as a natural result of aging. It is not rare for a 65-year-old female to be diagnosed with the disorder.Rationale 3: Osteoporosis can be prevented by sufficient intake of calcium and vitamin D, weight management, and exercise.Rationale 4: Not everyone has osteoporosis.Global Rationale: Cognitive Level: ApplyingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: ImplementationLearning Outcome: 49-1Question 2Type: MCSAA patient recovering from a total hip replacement develops a fever and redness at the surgical site. The nurse’s priority is to conduct additional assessment for which disorder?1. Pathologic fracture2. Osteomyelitis
3. Undiagnosed osteitis deformans4. Subacute osteoporosisCorrect Answer: 2Rationale 1: Pathologic fracture occurs in the absence of trauma. Fever and redness are not manifestations of pathologic fracture.Rationale 2: Acute osteomyelitis results from direct trauma or surgery. It is the direct contact of bacteria or the implanting of bacteria from the outside environment during a surgical procedure. Symptoms of acute osteomyelitis include fever, edema at the surgical site, warmth, redness, tenderness, and limited mobility.Rationale 3: Osteitis deformans is a chronic disorder that causes irregular bone breakdown and bone weakness.Rationale 4: Subacute osteoporosis is not a clinical disorder.Global Rationale: Cognitive Level: AnalyzingClient Need: Physiological IntegrityClient Need Sub: Physiological AdaptationNursing/Integrated Concepts: Nursing Process: AssessmentLearning Outcome: 49-1Question 3Type: MCSAA 55-year-old female patient with rheumatoid arthritis is diagnosed with osteoporosis. The nurse anticipates that the patient may be prescribed which medication to help with the treatment of this bone disorder?1. Antihypertensive2. Cardiac glycoside3. Parathyroid hormone4. Vitamins A and ECorrect Answer: 3Rationale 1: An antihypertensive medication would not have a direct effect on the progression of osteoporosis.Rationale 2: A cardiac glycoside would not have a direct effect on the progression of osteoporosis.